[Gynaecological and obstetric operations in coagulative disorders (author's transl)]

Evaluated in this paper are 16 gynaecological operations which had been performed on 14 women for haemostatic disorders, between 1973 and 1979. Von Willebrand's disease had been recorded from ten patients, thrombocytopenia from two, and hyperfibrinolysis from another two. Haemorrhagic complications were observed in six cases, although specific haemotherapy had been applied to them. - Twelve analysable courses of labour of patients with known coagulative disorders were recorded from among those who had been under obstetric care, between 1963 and 1979. Two of the above three diseases ranked high on the list again, with von Willebrand's disease being diagnosed in six cases and thrombocytopenia in four. Hyperfibrinolysis was recorded from one patient and an unelucidated plasmatic coagulation disorder from another one. All twelve women had spontaneous deliveries without complications. Foetal death had occurred in two women with thrombocytopenia, prior to their admission to hospital. One of the deaths had been caused by umbilical cord strangulation. Secondary haemorrhage was observed in two cases, both late in the puerperium. - Diagnosis and therapy are discussed. Cases of the above kind should be treated in clinical centres staffed with experienced personnel.